Acceptance and Efficacy of Live Supervision

Goethe University

Status: Completed

Conditions: Mental Disorders

Treatments: Behavioral: Delayed video-based supervision; Behavioral: Computer-assisted live supervision

Study type: Interventional

Funder types: Other

Identifiers

NCT01510080

WECK-012

Details and patient eligibility

About

In order to meet an existing lack of empirical studies in the field of cognitive behavioral therapy supervision, the present randomized controlled trial is aimed at comparing two different types of supervision. This study compares computer-assisted live supervision and delayed video-based supervision regarding efficacy and acceptance among therapists, patients and supervisors. The efficacy of supervision is defined on different levels such as change of psychotherapeutic competence, nondisclosure, self-efficacy, self-awareness of the supervisee as well as therapeutic alliance, supervisory alliance and therapy outcome.

Enrollment: 42 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Supervisees

Inclusion Criteria:

• Having successfully completed the interim audit
• Having started to treat ambulant patients under supervision

Exclusion Criteria:

Patients

Inclusion Criteria:

• Meeting ICD 10 criteria for a mental disorder
• Informed consent

Exclusion Criteria:

• Currently in psychotherapy
• Suicidal tendency
• Clinical diagnosis of alcohol or drug addiction, acute schizophrenia, schizoaffective disorder or bipolar disorder

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 2 patient groups

Computer-assisted live supervision

Experimental group

Description:

Supervisees assigned to this group will receive 8 sessions of computer-assisted live supervision and 4 sessions of delayed video-based supervision while treating 2 patients during 26 therapy sessions each. Computer-assisted live supervision is also known as "bug-in-the-eye" (BITE) supervision. The supervisor observes the therapy session with the help of a webcam and types messages on his computer. The instructions to the supervisee appear on a second monitor located in the therapy room where the supervisee can view it whenever he wants to.

Treatment:

Behavioral: Computer-assisted live supervision

Delayed video-based supervision

Experimental group

Description:

Supervisees assigned to this group will receive 12 sessions of delayed video-based supervision while treating 2 patients during 26 therapy sessions each. During delayed video-based supervision the supervisor and the supervisee spend 50 minutes reviewing selected parts of video recorded therapy sessions and discussing the case.

Treatment:

Behavioral: Delayed video-based supervision